Table 6

Studies of Carotenoids and Lung Cancer.

Reference
Study
# Cases
# Controls
Outcomes
Comment

[228]
Hawaiian cohort
332
865
Dose-dependent inverse associations for dietary β-carotene, α-carotene, lutein; Subjects with highest intake of all 3 had the lowest risk
Previous study showed variety of vegetables more protective than just foods rich in a particular carotenoid
[229]
Washington county, Maryland residents
258
515
↑Serum/plasma levels of cryptoxanthin, β-carotene, lutein/zeaxanthin = ↓cancer (OR = 0.74, 0.83, 0.90, SS)

[230]
Case control, Spain
103
206, hospital
No association for intake of α-carotene, β-carotene, or lutein.

[231]
Case control, Uruguay
541
540
↑total carotenoids = ↓cancer (OR = 0.43, SS)
Risk reduction for vit E and glutathione also seen.
[232]
Finland cohort
138

α-carotene = ↓cancer (OR = 0.61, SS); β-carotene inversely related but not SS.
90% of α-carotene from carrots





↑Fruits and ↑root vegetables = ↓cancer (OR = 0.58, 0.56, respectively, SS)
[233]
Nurses' Health Study & Health Professionals Follow-Up Study
794

α-carotene, lycopene, total carotenoids = ↓cancer (OR = 0.75, 0.80, 068 respectively, SS); Never smokers + ↑α-carotene = ↓cancer (OR = 0.37, SS)
4–8 year lag between diet assessment and date of diagnosis gave strongest correlations.
[234]
Shanghai men's cohort
209
622
↑serum β-cryptoxanthin = ↓cancer (OR quartiles = 1, 0.72, 0.42, 0.45, P-trend = 0.02); Smokers with above median level of total carotenoids had a SS 37% reduction in cancer risk
Study population had ~50% lower mean levels of serum carotenoids compared to US whites.
[235]
Canadian National Breast Screening Study
155
5,631
Non-significant inverse trend in risk for α-carotene and β-cryptoxanthin
β-cryptoxanthin most from citrus, red peppers
[236]
Japan Collaborative Cohort Study
147
311
α-carotene, β-carotene, canthaxanthin, total carotenoids = ↓risk (OR = 0.35, 0.21, 0.37, 0.27 respectively, SS); lycopene and β-cryptoxanthin reduce lung cancer risk, but not significantly

[237]
Singapore Chinese Health Study
482

↑dietary β-cryptoxanthin = ↓cancer risk (OR = 0.73, 0.63 for smokers, SS)
No significant associations of other carotenoids with lung cancer
[238]
Pooled analysis of 7 cohorts in USA and Europe
3,155

↑ dietary β-cryptoxanthin = ↓lung cancer (OR = 0.76, SS)
Other dietary carotenoids not significantly related to lung cancer.

SS = statistically significant difference between comparison groups.

Donaldson Nutrition Journal 2004 3:19   doi:10.1186/1475-2891-3-19

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